Written Answers Tuesday 3 August 2010

Scottish Executive

Dentistry

Mr Frank McAveety (Glasgow Shettleston) (Lab): To ask the Scottish Executive what it is doing to improve oral health across Scotland.

Nicola Sturgeon: Since 2007 we have been building on the action plan for improving oral health and modernising dental services, extending the Childsmile programmes across Scotland and launching Childsmile School. We have continued to see an improvement in children’s dental health and are pleased to note that this also extends to the most deprived groups in the population. We are supporting a number of initiatives across Scotland to improve the oral health of vulnerable groups such as older people, the homeless and prisoners.

Dentistry

Mr Frank McAveety (Glasgow Shettleston) (Lab): To ask the Scottish Executive whether it has a strategy on oral health.

Nicola Sturgeon: The action plan for improving oral health and modernising NHS dental services has been in place since 2005. A key component of the action plan is the Childsmile programme, which is a dental preventative programme for children from birth. In 2007 the Scottish Government complemented this by introducing the Childsmile school preventive service. Additionally, we are currently developing a strategy to further improve the oral health and provide better access to NHS dental care for priority groups.

Diabetes

Rhoda Grant (Highlands and Islands) (Lab): To ask the Scottish Executive how many acute hospital admissions there have been with a primary or secondary diagnosis of diabetes (a) in Scotland and (b) per 1,000 of population in each community health partnership area in NHS Highland in each of the last three years, broken down by intermediate geographical zone.

Nicola Sturgeon: The information requested is provided in the following tables:

  Table 1: Acute Hospital Admissions with a Primary or Secondary Diagnosis of Diabetes (and Rates per 1,000 Population) for Scotland

  

Financial Year
 2006-07
 2007-08
 2008-09


 
Number of Admissions
Rate per 1,000 Pop
Number of Admissions
Rate per 1,000 Pop
Number of Admissions
Rate per 1,000 Pop


 NHS Scotland
 72,206
 14.1
 77,383
 15.0
 79,545
 15.4



  Table 2: Acute Hospital Admissions with a Primary or Secondary Diagnosis of Diabetes (and Rates per 1,000 Population) for Argyll and Bute Community Health Partnership (CHP) and its Intermediate Geography Zones

  

Financial Year
 2006-07
 2007-08
 2008-09


 
Number of Admissions
Rate per 1,000 Pop
Number of Admissions
Rate per 1,000 Pop
Number of Admissions
Rate per 1,000 Pop


Argyll and Bute CHP
1,028
11.3
1,262
13.8
1,357
15.0


Campbeltown
57
12.7
59
13.4
92
21.5


Kintyre Trail
40
6.7
74
12.3
69
11.6


Bute
23
8.0
15
5.3
26
9.5


Rothesay Town
32
7.5
50
11.8
35
8.2


Whiskey Isles
47
10.0
50
10.6
56
11.8


Dunoon
52
11.3
67
14.5
66
14.5


Hunter's Quay
53
10.2
90
16.9
133
25.0


Cowal South
37
12.9
44
15.3
30
10.8


Helensburgh East
99
25.3
39
10.0
74
19.2


Helensburgh Centre
19
5.9
46
14.4
75
24.1


Helensburgh North
57
13.0
54
12.3
47
10.9


Helensburgh West and Rhu
35
7.7
46
10.2
33
7.3


Greater Lochgilphead
39
10.6
32
8.8
45
12.3


Garelochhead
41
6.0
53
7.8
73
11.4


Lomond Shore
16
5.1
47
14.7
46
14.5


Mid Argyll
27
7.9
37
10.9
45
13.1


Cowal North
31
8.7
49
14.0
55
15.5


Loch Awe
45
14.6
46
14.9
42
13.5


Oban South
103
19.4
113
21.3
122
22.9


Oban North
50
18.2
62
22.1
53
19.4


Benderloch Trail
78
17.2
108
23.5
75
16.1


Mull, Iona, Coll and Tiree
47
11.8
81
20.2
65
16.0



  Table 3: Acute Hospital Admissions with a Primary or Secondary Diagnosis of Diabetes (and Rates per 1,000 Population) for Mid Highland Community Health Partnership (CHP) and its Intermediate Geography Zones

  

 Financial Year
 2006-07
 2007-08
 2008-09


 
 Number of Admissions
 Rate per 1,000 Pop
 Number of Admissions
 Rate per 1,000 Pop
 Number of Admissions
 Rate per 1,000 Pop


Mid Highland CHP
2,065
23.0
2,086
23.0
2,118
23.2


Fort William South
123
22.3
155
28.1
144
26.3


Lochaber West
89
19.6
92
20.2
94
20.6


Fort William North
93
21.8
99
23.4
116
27.1


Lochaber East and North
139
29.7
95
19.8
86
18.1


Loch Ness
96
23.2
75
17.4
90
20.2


Skye South
72
22.1
46
14.0
69
20.9


Lochlash
56
20.9
46
17.3
38
14.3


Inverness West Rural
71
12.5
76
13.0
77
13.2


Skye North East
64
19.3
89
26.7
91
27.3


Skye North West
92
28.8
70
21.7
88
26.6


Conon and Muir of Ord
104
16.7
137
21.7
195
30.1


Black Isle South
127
20.8
115
18.8
123
20.1


Ross and Cromarty SW.
71
23.4
65
21.3
40
13.2


Dingwall
144
28.3
176
35.0
198
39.8


Black Isle North
55
15.9
68
19.2
44
12.4


Ross and Cromarty Central
62
18.1
78
22.4
53
15.1


Alness
180
34.2
199
37.3
147
26.9


Invergordon
173
41.5
120
28.7
92
21.9


Ross and Cromarty East
45
14.5
33
10.6
68
21.6


Seaboard
94
21.6
95
21.9
110
25.3


Tain
60
17.3
82
23.9
89
25.4


Ross and Cromarty NW.
50
16.0
67
21.4
57
18.0


Sutherland South
5
0.8
8
1.3
9
1.5



  Table 4: Acute Hospital Admissions with a Primary or Secondary Diagnosis of Diabetes (and Rates per 1,000 Population) for North Highland Community Health Partnership and its Intermediate Geography Zones

  

 Financial Year
 2006-07
 2007-08
 2008-09


 
 Number of Admissions
 Rate per 1,000 Pop
 Number of Admissions
 Rate per 1,000 Pop
 Number of Admissions
 Rate per 1,000 Pop


North Highland CHP
1,014
26.7
1,227
32.3
1,092
28.6


Ross and Cromarty NW
1
0.3
11
3.5
-
-


Sutherland South
120
20.1
161
26.8
160
26.7


Sutherland East
137
33.0
144
34.7
143
34.8


Caithness South
107
39.7
73
27.0
71
26.0


Sutherland North and West
70
20.6
111
33.2
62
18.5


Wick South
107
30.3
127
35.7
124
34.6


Wick North
75
23.3
143
44.4
117
36.4


Caithness North West
108
23.5
156
33.9
151
32.1


Caithness North East
121
33.9
107
29.6
72
19.8


Thurso East
90
32.7
88
32.5
79
29.2


Thurso West
78
16.9
106
22.6
113
24.2



  Table 5: Acute Hospital Admissions with a Primary or Secondary Diagnosis of Diabetes (and Rates per 1,000 Population) for South East Highland Community Health Partnership (CHP) and its Intermediate Geography Zones

  

 Financial Year
 2006-07
 2007-08
 2008-09


 
 Number of Admissions
 Rate per 1,000 Pop
 Number of Admissions
 Rate per 1,000 Pop
 Number of Admissions
 Rate per 1,000 Pop


 South East Highland CHP
 2,153
 24.6
 2,399
 27.0
 2,188
 24.3


 Lochaber East and North
 -
 -
 -
 -
 -
 -


 Badenoch and Strathspey South
 100
 27.1
 88
 23.6
 107
 29.1


 Loch Ness
 34
 8.2
 24
 5.6
 21
 4.7


 Badenoch and Strathspey Central
 41
 9.7
 91
 21.4
 92
 21.0


 Badenoch and Strathspey North
 113
 25.9
 129
 28.9
 103
 22.6


 Inverness East Rural
 71
 15.4
 107
 23.1
 143
 30.3


 Inverness West Rural
 53
 9.3
 62
 10.6
 34
 5.8


 Inverness Inshes and Slackbuie
 81
 18.3
 61
 11.4
 91
 15.5


 Inverness Lochardil and Holm Mains
 116
 25.2
 112
 24.4
 81
 17.5


 Inverness Kinmylies and South West
 59
 19.9
 75
 25.1
 83
 27.1


 Inverness Drummond
 113
 32.3
 125
 36.5
 105
 31.1


 Inverness Hilton
 138
 49.6
 130
 46.9
 139
 49.8


 Inverness Drakies
 91
 35.8
 72
 28.8
 34
 13.6


 Inverness Ballifeary and Dalneigh
 171
 39.4
 224
 51.0
 211
 48.2


 Inverness Crown and Haugh
 162
 38.0
 122
 28.8
 85
 20.3


 Inverness Westhill
 102
 24.4
 104
 22.1
 128
 25.2


 Nairn Rural
 57
 15.6
 48
 12.9
 60
 15.6


 Inverness Muirtown
 152
 38.9
 177
 45.6
 119
 30.9


 Inverness Smithton
 75
 22.2
 87
 26.3
 40
 12.1


 Inverness Scorguie
 53
 16.5
 89
 27.8
 63
 20.0


 Inverness Central, Raigmore and Longman
 69
 16.7
 89
 22.3
 77
 18.5


 Inverness Culloden and Balloch
 62
 14.1
 60
 13.8
 79
 18.5


 Inverness Merkinch
 105
 33.8
 146
 47.6
 100
 32.2


 Nairn West
 72
 15.7
 94
 20.5
 101
 22.4


 Nairn East
 63
 16.8
 83
 22.0
 92
 24.2



  Note: Some intermediate geography zones may fall into more than one Community Health Partnership.

  Source: ISD Scotland

Health

James Kelly (Glasgow Rutherglen) (Lab): To ask the Scottish Executive how many acute occupied bed days were directly connected to a diagnosis of assault by sharp object in 2009-10, broken down by NHS board.

Nicola Sturgeon: The number of emergency admissions where a diagnosis of "assault by sharp object" is recorded and the number of occupied bed days associated with those admissions for the financial year ending 31 March 2010 are presented in the following table.

  Figures for elective and emergency admissions are presented separately. Totals for both types of admissions have not been included as a proportion of elective patients will have been previously admitted as an emergency and would therefore appear in both categories.

  Emergency admissions only includes patients admitted as an inpatient and does not include patients treated solely within accident and emergency departments.

  Additional data and commentary on assault by a sharp object is published as part of ISD’s unintentional injuries publication http://www.isdscotland.org/isd/5327.html.

  Number of Inpatient and Day Case Episodes and Acute Occupied Bed Days1,2,3 Connected with an Assault by Sharp Object4 Split by Admission Type and NHS Board, Year Ending 31 March 2010p

  

 NHS Board of Treatment
 Elective Admissions
 Emergency Admissions


 
 Total Number of Episodes
 Total Number of Bed Days4
 Total Number of Episodes
 Total Number of Bed Days4


 NHS Scotland
 261
 1,097
 1,178
 1,843


 Golden Jubilee National Hospital
 11
 40
 7
 8


 NHS Ayrshire and Arran
 21
 75
 95
 126


 NHS Borders
 -
 -
 *
 *


 NHS Dumfries and Galloway
 -
 -
 6
 7


 NHS Fife
 6
 10
 22
 30


 NHS Forth Valley
 8
 26
 20
 25


 NHS Grampian
 8
 91
 37
 47


 NHS Greater Glasgow and Clyde
 123
 562
 715
 1,172


 NHS Highland
 *
 *
 16
 12


 NHS Lanarkshire
 36
 110
 108
 233


 NHS Lothian
 41
 167
 103
 118


 NHS Tayside
 *
 *
 40
 55


 Island Health Boards
 -
 -
 *
 *



  Notes:

  1. Hospital admission data are derived from linked records on discharges from non-obstetric and non-psychiatric hospitals (SMR01) in Scotland.

  2. Bed days are calculated using the length of stay variable.

  3. The number of bed days can be influenced by the severity of the injury received and hence total bed day figures do not necessarily reflect the underlying number of admissions.

  4. Assault by sharp object connected incidents are defined as ICD-10 code X99 in any secondary diagnosis positions.

  5. In order to minimise the risk of disclosure due to small numbers figures for the island boards (NHS Orkney, NHS Shetland and NHS Western Isles) have been aggregated.

  p – Provisional

  " - " indicates no data available.

  * Indicates values that have been suppressed due to the potential risk of disclosure and to help maintain patient confidentiality. For further guidance see ISD’s Statistical Disclosure Control Protocol http://www.isdscotland.org/isd/4489.html.

  Source: ISD Scotland, SMR01

Health

James Kelly (Glasgow Rutherglen) (Lab): To ask the Scottish Executive how many hospital admissions due to assault by sharp object there were in 2009-10.

Nicola Sturgeon: The number of emergency admissions where a diagnosis of "assault by sharp object" is recorded and the number of occupied bed days associated with those admissions for the financial year ending 31 March 2010 are presented in the answer to question S3W-35111 on 3 August 2010. All answers to written parliamentary questions are available on the Parliament’s website, the search facility for which can be found at:

  http://www.scottish.parliament.uk/Apps2/Business/PQA/Default.aspx

  Additional data and commentary on assault by a sharp object is published as part of ISD’s unintentional injuries publication http://www.isdscotland.org/isd/5327.html.

Health

Ken Macintosh (Eastwood) (Lab): To ask the Scottish Executive how many inspections of sunbed salons have taken place since the implementation of the Public Health etc. (Scotland) Act 2008 (Sunbed) Regulations 2009.

Nicola Sturgeon: The information requested is not held centrally. Inspection of sunbed premises are undertaken by local authority enforcement officers. However, it is intended to survey local authorities on their enforcement of the regulations once these have been in force for a year.

Health

Ross Finnie (West of Scotland) (LD): To ask the Scottish Executive what plans it has to develop the role of telehealth to enhance the provision of emergency and unscheduled care, in particular in rural areas.

Ross Finnie (West of Scotland) (LD): To ask the Scottish Executive whether it has explored with the Scottish Ambulance Service the potential to develop the role of telehealth to enhance the provision of emergency and unscheduled care, in particular in rural areas.

Ross Finnie (West of Scotland) (LD): To ask the Scottish Executive whether it has considered giving first responders access to telehealth equipment to enhance their ability to provide emergency and unscheduled care in rural areas.

Nicola Sturgeon: There is various planned and actual activity around the use of telehealth to enhance the provision of emergency and unscheduled care. The focus for this work is NHS 24 and the Scottish Ambulance Service.

  The Scottish Ambulance Service, in partnership with NHS 24 and GP out-of-hours services across Scotland, has established a professional to professional help line that gives ambulance staff the ability to contact another health care professional such as a senior GP for advice and support in real-time decision making and management of patients. This may for example allow a patient who previously would have been transferred from home to a distant hospital to be either managed at home or within their local community.

  The ambulance service are also making use of defibrillators that allow transmission of ECGs to the local cardiac or accident and emergency unit to support the early diagnosis of myocardial infarction. This may mean immediate transfer to a centre for the administration of thrombolysis ("clot busting"). The new defibrillators can also capture further information regarding the crews' performance during resuscitation, not only giving immediate feedback on the effectiveness of their intervention but also transmitting that information to a database for further detailed analysis and feedback. The ambulance service is currently piloting this.

  NHS 24, through the Scottish Centre for Telehealth (SCT), is working with NHS Grampian to develop an integrated telemedicine solution utilising the network of community hospitals across rural Grampian. The evolving model will allow patients to be assessed in their community hospital by either a senior nurse or local GP supported by a specialist consultant in accident and emergency based in Aberdeen.

  The Scottish Ambulance Service, through its investment in cab-based technology already has the capability to provide a level of decision making support to front line staff. Following a successful pilot project in Ayrshire where the patient record and clinical recordings were transmitted from the ambulance to the receiving accident and emergency department before the patient arrived, work is now ongoing with NHS Fife to further refine this development with the intention of extending the capability across Scotland.

  Currently, first responders have access to senior paramedic support accessed by telephone to the emergency medical despatch centres of the ambulance service. There are currently no plans in place to further enhance this capability in the immediate future. However NHS 24/SCT is engaging with industry to monitor decision support solutions that deliver mobile telemedicine and looking at the future advances in technology and monitoring equipment to determine how these may realistically be deployed to benefit patients and support care providers.

Hospital-Acquired Infection

Jackie Baillie (Dumbarton) (Lab): To ask the Scottish Executive what the optimal time is for screening for MRSA in advance of a hospital admission.

Nicola Sturgeon: Health Protection Scotland advise that the optimal time for pre-admission screening for MRSA is around 30 days prior to admission.

Hospital-Acquired Infection

Jackie Baillie (Dumbarton) (Lab): To ask the Scottish Executive what guidance it provides to NHS boards on the timing of screening for MRSA prior to a patient’s admission to hospital.

Nicola Sturgeon: NHS boards are advised in the Health Protection Scotland protocol for MRSA screening national rollout in Scotland that patients who have a planned admission date should be screened at the pre-admission stage or at outpatient clinics.

  If this is not possible, NHS boards are advised that patients should be screened on admission to hospital and in these cases the patient would follow the screening pathway of an emergency patient.

Hospital-Acquired Infection

Jackie Baillie (Dumbarton) (Lab): To ask the Scottish Executive whether screening for MRSA six weeks before admission to hospital is appropriate given that there is time to become infected in the period between the test and admission.

Nicola Sturgeon: Health Protection Scotland advise that it is appropriate to screen patients six weeks prior to admission to allow adequate time for decolonisation and repeat tests for patients who test MRSA positive. However, the optimal time is 30 days.

  A recent systematic review entitled "Eradication of Methicillin-Resistant Staphylococcus aureus Carriage" concluded that the success rate for MRSA eradication with nasal application of mupirocin ointment was approximately 90% at one week post decolonisation completion. The report can be viewed at:

  http://www.journals.uchicago.edu/doi/pdf/10.1086/597291.

Malnutrition

Ross Finnie (West of Scotland) (LD): To ask the Scottish Executive how many people aged (a) under 16, (b) 16 to 64 and (c) 65 and over were admitted to hospital as a result of malnutrition in 2009-10, broken down by NHS board.

Nicola Sturgeon: Data for 2009-10 is not complete at this time and is, as yet, unpublished. Data for 2009-10 will be available from 28 September 2010.

Malnutrition

Ross Finnie (West of Scotland) (LD): To ask the Scottish Executive how many people aged (a) under 65, (b) 65 to 74 and (c) 75 and over died in hospital and had malnutrition recorded as a principle or contributory cause of death in each of the last five years, broken down by NHS board.

Nicola Sturgeon: The question is answered in the following tables:

  Table 1a: Deaths where Malnutrition was the Underlying Cause of Death.

  

 Age at Death and NHS Board
 2005
 2006
 2007
 2008
 2009


 64 and under
 
 
 
 
 
 


 
 Fife
 0
 0
 0
 1
 0


 
 Forth Valley
 1
 0
 0
 0
 1


 
 Greater Glasgow and Clyde
 0
 1
 2
 2
 2


 
 Lanarkshire
 1
 0
 0
 0
 0


 
 Lothian
 0
 1
 0
 1
 0


 
 Tayside
 0
 1
 1
 0
 0


 
 Scotland
 2
 3
 3
 4
 3


 65 to 74
 
 2005
 2006
 2007
 2008
 2009


 
 Ayrshire and Arran
 0
 0
 0
 1
 0


 
 Fife
 0
 0
 0
 0
 1


 
 Greater Glasgow and Clyde
 1
 2
 1
 1
 1


 
 Lanarkshire
 1
 1
 0
 0
 0


 
 Lothian
 1
 0
 1
 0
 0


 
 Tayside
 0
 1
 0
 0
 0


 
 Scotland
 3
 4
 2
 2
 2


 75 and over
 
 2005
 2006
 2007
 2008
 2009


 
 Ayrshire and Arran
 0
 0
 1
 0
 3


 
 Fife
 1
 0
 0
 1
 0


 
 Forth Valley
 1
 0
 0
 0
 0


 
 Grampian
 1
 0
 0
 0
 1


 
 Greater Glasgow and Clyde
 2
 5
 1
 1
 3


 
 Highland
 0
 1
 0
 0
 0


 
 Lanarkshire
 0
 4
 1
 0
 1


 
 Lothian
 2
 1
 1
 2
 0


 
 Tayside
 1
 1
 0
 0
 1


 
 Western Isles
 1
 0
 0
 0
 1


 
 Scotland
 9
 12
 4
 4
 10


 All
 2005
 2006
 2007
 2008
 2009


 
 Ayrshire and Arran
 0
 0
 1
 1
 3


 
 Fife
 1
 0
 0
 2
 1


 
 Forth Valley
 2
 0
 0
 0
 1


 
 Grampian
 1
 0
 0
 0
 1


 
 Greater Glasgow and Clyde
 3
 8
 4
 4
 6


 
 Highland 
 0
 1
 0
 0
 0


 
 Lanarkshire
 2
 5
 1
 0
 1


 
 Lothian
 3
 2
 2
 3
 0


 
 Tayside
 1
 3
 1
 0
 1


 
 Western Isles
 1
 0
 0
 0
 1


 
 Scotland
 14
 19
 9
 10
 15



  Table 1b: Deaths where Malnutrition was a Contributory Factor, but not the Underlying Cause of Death.

  

 Age at Death and NHS Board
 2005
 2006
 2007
 2008
 2009


 64 and under
 
 
 
 
 
 


 
 Ayrshire and Arran
 3
 5
 2
 3
 1


 
 Borders
 0
 0
 1
 1
 1


 
 Dumfries and Galloway
 0
 0
 1
 2
 1


 
 Fife
 0
 1
 1
 1
 2


 
 Forth Valley
 1
 1
 1
 2
 2


 
 Grampian
 1
 3
 1
 2
 1


 
 Greater Glasgow and Clyde
 16
 6
 10
 9
 8


 
 Highland 
 0
 0
 1
 2
 3


 
 Lanarkshire
 3
 2
 3
 4
 2


 
 Lothian
 2
 5
 2
 7
 5


 
 Tayside
 4
 2
 1
 1
 4


 
 Western Isles
 0
 0
 0
 1
 0


 
 Scotland
 30
 25
 24
 35
 30


 65 to 74
 
 2005
 2006
 2007
 2008
 2009


 
 Ayrshire and Arran
 2
 1
 0
 2
 1


 
 Borders
 0
 0
 0
 3
 0


 
 Dumfries and Galloway
 0
 0
 1
 1
 1


 
 Fife
 0
 2
 1
 4
 1


 
 Forth Valley
 1
 0
 0
 1
 1


 
 Grampian
 4
 1
 1
 1
 0


 
 Greater Glasgow and Clyde
 6
 7
 6
 6
 4


 
 Highland 
 0
 0
 2
 0
 0


 
 Lanarkshire
 2
 1
 2
 2
 0


 
 Lothian
 6
 3
 3
 1
 2


 
 Tayside
 0
 0
 0
 2
 2


 
 Western Isles
 0
 0
 0
 1
 0


 
 Scotland
 21
 15
 16
 24
 12


 75 and over
 
 2005
 2006
 2007
 2008
 2009


 
 Ayrshire and Arran
 3
 5
 2
 6
 6


 
 Borders
 0
 0
 1
 0
 0


 
 Dumfries and Galloway
 1
 0
 1
 3
 0


 
 Fife
 4
 1
 2
 4
 2


 
 Forth Valley
 2
 6
 0
 2
 1


 
 Grampian
 1
 2
 1
 2
 3


 
 Greater Glasgow and Clyde
 6
 8
 10
 7
 6


 
 Highland
 1
 2
 2
 2
 0


 
 Lanarkshire
 1
 0
 4
 3
 2


 
 Lothian
 8
 8
 4
 5
 5


 
 Shetland
 0
 1
 0
 0
 0


 
 Tayside
 3
 1
 3
 0
 0


 
 Scotland
 30
 34
 30
 34
 25


 All
 2005
 2006
 2007
 2008
 2009


 
 Ayrshire and Arran
 8
 11
 4
 11
 8


 
 Borders
 0
 0
 2
 4
 1


 
 Dumfries and Galloway
 1
 0
 3
 6
 2


 
 Fife
 4
 4
 4
 9
 5


 
 Forth Valley
 4
 7
 1
 5
 4


 
 Grampian
 6
 6
 3
 5
 4


 
 Greater Glasgow and Clyde
 28
 21
 26
 22
 18


 
 Highland
 1
 2
 5
 4
 3


 
 Lanarkshire
 6
 3
 9
 9
 4


 
 Lothian
 16
 16
 9
 13
 12


 
 Shetland
 0
 1
 0
 0
 0


 
 Tayside
 7
 3
 4
 3
 6


 
 Western Isles
 0
 0
 0
 2
 0


 
 Scotland
 81
 74
 70
 93
 67



  Table 1c: All Deaths from Malnutrition.

  

 Age at Death and NHS Board
 2005
 2006
 2007
 2008
 2009


 64 and under
 
 
 
 
 
 


 
 Ayrshire and Arran
 3
 5
 2
 3
 1


 
 Borders
 0
 0
 1
 1
 1


 
 Dumfries and Galloway
 0
 0
 1
 2
 1


 
 Fife
 0
 1
 1
 2
 2


 
 Forth Valley
 2
 1
 1
 2
 3


 
 Grampian
 1
 3
 1
 2
 1


 
 Greater Glasgow and Clyde
 16
 7
 12
 11
 10


 
 Highland 
 0
 0
 1
 2
 3


 
 Lanarkshire
 4
 2
 3
 4
 2


 
 Lothian
 2
 6
 2
 8
 5


 
 Tayside
 4
 3
 2
 1
 4


 
 Western Isles
 0
 0
 0
 1
 0


 
 All
 32
 28
 27
 39
 33


 65 to 74
 
 2005
 2006
 2007
 2008
 2009


 
 Ayrshire and Arran
 2
 1
 0
 3
 1


 
 Borders
 0
 0
 0
 3
 0


 
 Dumfries and Galloway
 0
 0
 1
 1
 1


 
 Fife
 0
 2
 1
 4
 2


 
 Forth Valley
 1
 0
 0
 1
 1


 
 Grampian
 4
 1
 1
 1
 0


 
 Greater Glasgow and Clyde
 7
 9
 7
 7
 5


 
 Highland 
 0
 0
 2
 0
 0


 
 Lanarkshire
 3
 2
 2
 2
 0


 
 Lothian
 7
 3
 4
 1
 2


 
 Tayside
 0
 1
 0
 2
 2


 
 Western Isles
 0
 0
 0
 1
 0


 
 All
 24
 19
 18
 26
 14


 75 and over
 
 2005
 2006
 2007
 2008
 2009


 
 Ayrshire and Arran
 3
 5
 3
 6
 9


 
 Borders
 0
 0
 1
 0
 0


 
 Dumfries and Galloway
 1
 0
 1
 3
 0


 
 Fife
 5
 1
 2
 5
 2


 
 Forth Valley
 3
 6
 0
 2
 1


 
 Grampian
 2
 2
 1
 2
 4


 
 Greater Glasgow and Clyde
 8
 13
 11
 8
 9


 
 Highland 
 1
 3
 2
 2
 0


 
 Lanarkshire
 1
 4
 5
 3
 3


 
 Lothian
 10
 9
 5
 7
 5


 
 Shetland
 0
 1
 0
 0
 0


 
 Tayside
 4
 2
 3
 0
 1


 
 Western Isles
 1
 0
 0
 0
 1


 
 All
 39
 46
 34
 38
 35


 All
 
 2005
 2006
 2007
 2008
 2009


 
 Ayrshire and Arran
 8
 11
 5
 12
 11


 
 Borders
 0
 0
 2
 4
 1


 
 Dumfries and Galloway
 1
 0
 3
 6
 2


 
 Fife
 5
 4
 4
 11
 6


 
 Forth Valley
 6
 7
 1
 5
 5


 
 Grampian
 7
 6
 3
 5
 5


 
 Greater Glasgow and Clyde
 31
 29
 30
 26
 24


 
 Highland
 1
 3
 5
 4
 3


 
 Lanarkshire
 8
 8
 10
 9
 5


 
 Lothian
 19
 18
 11
 16
 12


 
 Shetland
 0
 1
 0
 0
 0


 
 Tayside
 8
 6
 5
 3
 7


 
 Western Isles
 1
 0
 0
 2
 1


 
 All
 95
 93
 79
 103
 82



  Source: General Register Office Scotland. Figures for 2009 are provisional. Deaths occurring in hospital for which malnutrition was (i) the underlying cause or (ii) a contributory factor, by NHS board of residence (for Scots residents), rather than by location of hospital. Malnutrition is coded by the international classification of diseases version 10; ICD-10 codes E40-E46.

Mental Health

Margaret Curran (Glasgow Baillieston) (Lab): To ask the Scottish Executive whether there are plans to close any of the three mental health resource centres operating in the east end of Glasgow.

Nicola Sturgeon: NHS Greater Glasgow and Clyde has confirmed that the development plan for the east of Glasgow community health and care partnership (CHCP) identified the possibility of a move from three to two resource centres.

  However, the board is clear that such an eventuality would be dependent on the outcome of a current review of local mental health services. The east CHCP committee has established a working group to consider how mental health services should be organised and delivered locally. The working group, which includes a range of local stakeholders, has only met once to date and no formal service proposals have been agreed.

NHS Boards

George Foulkes (Lothians) (Lab): To ask the Scottish Executive what plans it has to monitor the reduction or withdrawal of services to (a) local authorities and (b) NHS boards as a result of budget reductions in (i) 2010-11 and (ii) 2011-12.

Nicola Sturgeon: There is extensive engagement between national and local government on the impact of budget changes, in line with the principles in the concordat. Supporting that engagement, a range of information is published on the budgets set by local authorities over time and on the services they deliver. This includes, for example, the annual publication of local government financial statistics, annual reports on single outcome agreements as signed by community planning partnerships (which include both councils and the NHS in each area), and formal inspection and audit reports.

  NHS boards submit local delivery plans (LDP) to the Scottish Government Health Directorate (SGHD) annually which are subsequently signed off by SGHD to ensure that appropriate service delivery and financial plans are in place each year. Monitoring of the plans takes place locally within each board at public board meetings and in addition SGHD carries out annual reviews, also in public, to assess against LDP progress. When boards have major service change proposals a robust process of consultation and independent scrutiny is undertaken.

NHS Hospitals

Margaret Curran (Glasgow Baillieston) (Lab): To ask the Scottish Executive whether the Cabinet Secretary for Health and Wellbeing has received recommendations from NHS Greater Glasgow and Clyde for the closure of Parkhead Hospital.

Nicola Sturgeon: No.

Vaccinations

Dr Richard Simpson (Mid Scotland and Fife) (Lab): To ask the Scottish Executive, further to the answer to question S3W-34364 by Shona Robison on 21 June 2010, how many side effects or serious reactions have been reported in girls vaccinated and whether they have occurred in any girls with underlying medical conditions.

Nicola Sturgeon: As of 14 July 2010, the Medicines and Healthcare Products Regulatory Agency (MHRA) has received a total of 327 reports of suspected adverse reactions (ADRs) associated with the use of human papilloma virus (HPV) vaccine (including Cervarix and brand unspecified reports) from Scotland, covering 1,002 ADRs. 77 of these reports were considered serious by the reporter and only 35 reports contained information on medical history.

  The number and nature of suspected ADRs received so far is very much in line with what the MHRA expected to receive at this time and no serious new risks have been identified. Following administration of at least 4 million doses across the UK since September 2008, the balance of risks and benefits of Cervarix remains positive.

  Documents which summarise the reports of suspected adverse reactions received by the MHRA in association with HPV vaccine are placed on the MHRA’s website at www.mhra.gov.uk/HPVvaccine.